Provider Demographics
NPI:1215692256
Name:LOGAN, HEATHER JEANNINE SANTANGELO (RN-WHNP)
Entity type:Individual
Prefix:
First Name:HEATHER JEANNINE
Middle Name:SANTANGELO
Last Name:LOGAN
Suffix:
Gender:F
Credentials:RN-WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 MIDDLE SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1734
Mailing Address - Country:US
Mailing Address - Phone:610-506-9912
Mailing Address - Fax:
Practice Address - Street 1:3145 MIDDLE SCHOOL DR
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-1734
Practice Address - Country:US
Practice Address - Phone:610-506-9912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN548179163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn